engleski

The impact of psychological status in a perception of pain in patients with burning mouth syndrome

Introduction: Burning mouth syndrome (BMS) is a chronic orofacial pain disorder characterized by burning sensation in the clinically healthy oral mucosa. Based on etiology, BMS can be divided into primary (unknown cause) and secondary (local, systemic, psychological factors). Psychological factors such as somatoform pain disorder, anxiety, and depression can play a great role in BMS symptomatology and etiology. The aim of the study was to assess the psychological status of BMS patients to determine whether psychologic factors are related to pain reports. Material and methods: Twenty - two patients with BMS along with 15 healthy patients as controls were included in this study. Inclusion criteria were for BMS patients were burning sensation in the mouth, normal oral mucosa, absence of diabetes or iron deficiency, and satisfactory prosthesis. Inclusion criteria were considered for the control group without any oral complaints. The severity of somatic symptoms was evaluated by Patient Health Questionnaire-15 and the tendency to detect visceral and somatic sensations as unusually, alarming intense was assessed with the Somatosensory Amplification Scale (SAS). Results: The total prevalence of somatization syndromes at a moderate to high level was estimated to be 87% of the BMS patients and 55% in the control group. BMS patients reported mean scores on SAS form significantly higher (p<0.01) than a control group, 86% for BMS patients and 26% for control patients. Conclusion: The present findings indicate that BMS patients had distinct differences in somatosensory function and high scores show a greater tendency to intensify somatic sensations.

Burning mouth syndrome ; Somatoform disorder ; Oral mucosa

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